摘要
目的探讨经额底纵裂入路显微外科手术治疗鞍区肿瘤的手术方法及手术技巧。方法应用经额底纵裂入路显微外科手术切除垂体瘤12例,脑膜瘤5例,颅咽管瘤3例,表皮样囊肿1例。结果垂体瘤全切除9例,近全切除3例;脑膜瘤SimpsonⅡ级切除5例;颅咽管瘤全切除3例;鞍上表皮样囊肿全切除1例。结论经额底纵裂入路对前颅底、鞍区重要解剖结构有良好暴露,有利于术中对大脑前动脉、颈内动脉、前交通动脉、垂体柄、视交叉、下丘脑及重要穿通血管等结构的保护,手术全切率高,术后出现偏瘫、失语、昏迷、尿崩的发生率低。
Objective To explore the method and technique of microsurgery through frontobasal interhemispheric approach for removing tumors. Methods 21 patients underwent surgery for sellar tumor through fronto-basal interhemispheric approach, including 12 patients with pituitary tumors,5 with meingiomas,3 with craniopharyngioma and one patient with epidermoid cyst. Results Of 21 patients,the pituitary tumors were totally removed in 9 , subtotally removed in 3 ,meningiomas were removed at Simpson Ⅱ grade in 5, craniopharyngiomas were totally removed in 3 and epidermoid cyst was totally removed in 1. Conclusion The satisfactory exposure of anterior cranial fossae and sellar regions for resection of the tumors in these regions can be obtained by the microsurgery through fronto-basal interhemispheric approach.
出处
《临床神经外科杂志》
CAS
2011年第1期38-39,共2页
Journal of Clinical Neurosurgery
关键词
鞍区肿瘤
额底纵裂入路
显微外科手术
sellar tumor
fronto-basal interhemispheric approach
microsurgery
